NPI | 1740730357 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 225XP0019X Occupational Therapist, Physical Rehabilitation |
Additional Taxonomies | 225XH1200X Occupational Therapist, Hand |
225XN1300X Occupational Therapist, Neurorehabilitation | |
225XP0200X Occupational Therapist, Pediatrics | |
Enumeration Date | 2016-10-06 |
Last Update Date | 2020-06-25 |